“…Adenomas at the ampulla of Vater can obstruct bile flow and pancreaticobiliary enzymes, leading to acute pancreatitis. 16 Among the extra colonic alterations, including other types of cancers, gastric and duodenal polyps, desmoids tumors, 17 congenital hypertrophy of the retinal pigment epithelium, 17,21 osteomas, 21 epidermal cysts, 17 and oral abnormalities, 21 which are reported to be present from 58 to 100% of affected individuals. 17 Among these include ST, 2,17,22 appeared in 11-27% of patients, mostly between teeth in the alveolar bone or attached to follicle of an impacted tooth, common sites were anterior and around canines, 2 dentigerous cysts, 22 unerupted teeth, 17,22 congenital absence of one or more teeth, 22 odontomas, 17,22 and osseous jaw lesions.…”